# RADIANT SMILES SERIES 2 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104132281
- **Authorized official:** MR. DAVID C GONZALEZ (DIRECTOR)
- **Authorized official phone:** (702) 360-4800

## Contact information

- **Practice address:** 8961 W SAHARA AVE STE 108, LAS VEGAS, NV 89117-5831
- **Practice address phone:** (702) 360-4800
- **Practice address fax:** (702) 360-2846
- **Mailing address:** 8961 W SAHARA AVE STE 108, LAS VEGAS, NV 89117-5831
- **Mailing address phone:** (702) 360-4800
- **Mailing address fax:** (702) 360-2846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4725 | NV | Yes |

## Other

- **Enumeration date:** 08/26/2010
- **Last updated:** 08/26/2010